Senior Compliance Analyst
Mom's Meals | A Purfoods Company
full-time
Posted on:
Location Type: Hybrid
Location: Ankeny • Iowa • United States
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Salary
💰 $75,101 - $90,000 per year
Job Level
About the role
- Regularly review State and Federal laws, rules, in partnership with legal and notify internal business partners of applicable changes to ensure organizational compliance is maintained
- Complete a regular review of policies and procedures to maintain alignment with state and federal compliance regulations; recommend updates, work with leadership to complete
- Ensure resolution of Critical Incidents with appropriate internal business partners and notify agency caseworkers/contacts according to contractual and regulatory obligations
- Investigate and ensure resolution to Grievances received from clients, agencies, and third parties; provide any required follow-up education to employees or leaders; collaborate with leadership to determine and implement corrective actions
- Compile compliance metrics and analyzes results for ongoing tracking and Board and Executive review
- Manage general compliance email as needed
- Execute regular Compliance Program Self-Assessments based on the Department of Justice recommendations; propose internal action plans to strengthen Compliance posture within organization
- Provide employee compliance education including onboarding, annual training, both departmental-specific and role-based training; participates in annual education review and as rules and regulations change; develops Compliance Tips for general education
- Assist in development of compliance audit program by planning and conducting second line of defense compliance audits; communicate results to applicable internal business
- Review and investigate impermissible use/disclosure reports; provides employee re-education
- Participate in breach notification process
- Develop and provide employee privacy education including onboarding, annual training, both departmental-specific and role-based training; participate in annual review education review or as rules and regulations change; Privacy Tips for general education
- Assist in development and oversee HIPAA Auditing/Monitoring Plan and annual revision; privacy aspects of HITRUST; monitoring of program using OCR Audit Protocol
- Act as an internal compliance/privacy resource for Mom’s Meals employees
- Engage in ongoing education and professional development to increase compliance expertise, business acumen, and regulatory knowledge
- Collaborate with teammates, leadership team, and internal business partners to produce effective compliance and privacy program outcomes
- Manage all external audit activity, including: audit intake, analysis, information/document requests from internal business partners, review and preparation, submission, auditor meetings, results review and response
- Draft Corrective Action Plans (CAP) and Audit Appeals with input from applicable internal business leaders and Compliance Leadership in response to audit findings
- Identify, track, and trend in auditing to ensure proactive preparation for future audits and/or determinations resulting in CAPs
- Maintain electronic audit resource library to ensure up-to-date documentation
- Maintain external audit tracking database to house all audit activity and status and supports reporting and data analytics of audit data
Requirements
- Bachelor’s degree OR 8 years relevant experience
- 4-7 years’ experience in auditing, payer relations, compliance, privacy, information security or other relevant healthcare industry experience
- Strong problem-solving skills including attention to detail
- Ability to prioritize (and re-prioritize) projects in a fast-paced work environment
- Effective written and verbal communication skills
- Ability to work collaboratively to foster trust, credibility, and understanding
- Ability to promote teamwork within department and organization
- Exceptional personal organizational skills to meet deadlines, complete work assignments and projects and/or accomplish time sensitive work prior to due dates
- Maintain working knowledge and understanding of various state/federal compliance and privacy laws, rules and regulations related to Medicare/Medicare Advantage plans, Medicaid, Managed Care Organizations
- Proficient in Microsoft Office Applications including Word, Excel, PowerPoint, and Outlook
Benefits
- PTO, holiday pay and holiday of choice
- 401(k) match
- Life insurance
- Short-term disability
- Health, dental and vision insurance
- Maternity/paternity leave
- Health savings account (HSA)
- Flex spending accounts (FSA) – health and dependent
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
auditingcomplianceprivacyinformation securitydata analyticspolicy reviewincident resolutiongrievance investigationHIPAA auditingMedicare/Medicaid compliance
Soft skills
problem-solvingattention to detailproject prioritizationeffective communicationcollaborationteamworkorganizational skillstrust buildingcredibilityunderstanding